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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of s) <br /> V. TANK SECONDARY CONTAINMENT INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Trusco A ❑ I B x❑ I C ❑ I D ❑ <br /> A ❑ I B ❑ I C ❑ I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> ❑x Industry Code or Engineering Standard (Specify) : PEI / RP 1200 - 17/Glass/Steel Tank/- 10 Hg . *2hrs <br /> ❑ Engineered Method (Specify): <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. 2 <br /> Tank Containment Testing Training and Certifications (List applicable certifications) Expiration Date <br /> ICC Service Technician #5246802- UT 3/21 /2021 <br /> Underground Storage Tank Tester License #90 - 1120 12/31 /2022 <br /> VI . COMMENTS <br /> Provide any additional comments here. <br /> Tank A & Tank B is a 20K Two Compartment, Double Wall Glass/Steel . Tank A is designated for, 12 , 031 Gallons <br /> Regular 87 Octane Gasoline , and Tank B is designated for 8 , 020 Gallons Super 91 Octane Gasoline . <br /> *Test time extended to two hours for Tanks with a volume exceeding 20K . <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Smith FRP A ❑x I B ❑x I C ❑ D ❑ <br /> A ❑ I B ❑ I C ❑ D ❑ <br /> Test Method Used : ❑x Manufacturer Guidelines (Specify) : * Bravo Systems Coated Steel UDC ' s . 3 Psi - 1 Hour <br /> ❑ Industry Code or Engineering Standard (Specify): <br /> ❑ Engineered Method (Specify): <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. 2 <br /> Product Piping Containment Testing Training and Certifications (List applicable certifications) Expiration Date <br /> ICC Service Technician #5246802- UT 3/21 /2021 <br /> Underground Storage Tank Tester License #90 - 1120 12/31 /2022 <br /> Interstitial Communication Verification Method Used : <br /> NA-Section III -Sealed System at Termination end of Piping Runs at Bravo System Coated Steel UDC's . <br /> VIII . COMMENTS <br /> Provide any additional comments here. <br /> *Section VII - See Test Procedure Attachment for Product Piping Test Pressure , Time and Protocol , for Fiberglass Piping <br /> Systems that terminate at Bravo System Coated Steel UDC' s . <br /> ID = Identification <br />